At the final examination (in year 7), 50 (34.25%) of the diabetic patients had died, and another 26 (17.5%) had move to other locations or had been transferred to nursing homes. of the remaining 70 patients who accepted a third ABI measurement, 35 (50%) (ie, geoup I) showed in ABI values at the end of the 7-year period, and 35 showed a change in at least one pedal artery. During this follow-up period, 10 patient developed claudication, and 13 developed rest pain, of whom three developed critical ischemia.